Enduro LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENDURO LLC

Doing business as

Roots Rehab

Practice address

1520 NW Irvinedale Dr Ste 103
Ankeny, IA 50023-7429

Phone

(515) 718-7177

NPI assigned

Oct 2, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kayla DeighanNPI 1922608934

Title

Owner, Physical Therapist

Phone

(316) 259-4979

Specialties & licenses 1

Addresses

Other names 1

• Roots Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Marie Deighan, DPT

  • Physical Therapist
  • Ankeny, IA
  • NPI 1922608934
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1780464305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 SE MAGNOLIA DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 NW IRVINEDALE DR STE 103",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237429",
            "telephone_number": "515-718-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "DEIGHAN",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "316-259-4979"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.